HomeMy WebLinkAboutMortgage_Morgan (15) <0-4 STATEMENT OF MORTGAGE OR CONTRACT IND!BTEa County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION 'L-q LJ
6,' State Fonn 43769(R12/6-14) Gibson Union
.�;,„� Prescribed by Department of Local Government Finance CrD Q 2Q\8
INSTRUCTIONS: ` CO O File Mark
To be filed in person or by mail. Form filed with:
st
Filing Dates: 1) Real Property Must be completed and dated in the calendar year fo whichjy9.city, is sought.
Must be filed or postmarked with the County Auditor or County Rec&Uei Curio I'M nty rpersJ1R property is ❑ County Auditor
located on or before January 5 of the immediately succeed0plerrdaryetir.'rN1 k' ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property Most file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner a contract buyer-see restriction on reverse side)
Randall Morgan and Vaughnetta Morgam
Taxing District Key number/legal description Rec rd number Page numbs
Union 26-18-28-100-000.735-025 5109
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contact indebtedness unpaid as of Is the applicant the stile
March 1,Current year March 1,current year date of application legal or equitable owner?
177,650.00 El Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
_ If name on record is different than that of appbcant.indicate below: Is the property in question:Annually Assessed
(Z) Real Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Heritage Federal Credit Union
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
5388 Old State Road 66, Newburgh, IN 47630
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own prope in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county on property for
in Indiana? ❑Yes o current year? ❑Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the County
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of:
20 20 20 20 20_ 20_ 20
Signature of County Auditor County Date(month,day,year)
I I We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(own name) D to(month,da, ear)
man 3-I-I Y
Full resident a(dre of applicant(number and street,city.state.bia cl ZIP code)
4275 ; 1 S., Ft. Branch, IN 47648
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-0.7 Date(month,day.year)
Address of authorized person (number and street,city.state.end ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fin e riot to exceed$10,000.
STATEMENT
EDUC Ill MORTGAGE S ED ALUAT INDEBTEDNESS S �j Township Year
FOR DEDUCTION FROM ASSESSED VALUATION I � �jAJ'Iffl
, State Form 43709 R13/10-15)
Prescribed by Department of Local Government Finance
INSTRUCTIONS: fa 2 2 2018 File Mark
To be filed in person or by mail. Form filed with:
Filing Oates 1) Real Properly Must be completed and dated in the calendar year for which the deduction is sought ,
Must be filed or postmarked with the County Auditor or County Recorder of the county - : the •2••,:-°i is County Auditor
located on or before January 5 of the immediately succeeding calendar year. �, , •fl►• n;TOP it I 2) Mobde/Manufactured Homes not assessed as Real Property:Must file with the Coy • tethe COM County Recorder
where the properly is boated during the twelve(12)months before March 31 of e'. UCtien is sought
See reverse side for additional instructions and qualifications.
Appb7(ox„era rd ei t ta n see/� ' e�
Taxing District Key i• 1 desa'ptw' Page-/ r / aov 738 0C 5 030/ S J/,,4/
Assessed value of real property( as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole -
assessment daze,curled year assessment date,current year data of application legal or equi:IYe owner?
17 7 (DSc Yes ❑ No
If no,what is his/her exact store of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below-. Is the property in question:Annually Assessed
❑Real Property ❑ Annually Assessed
• Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller .../ 1'
,.0r(Q/biT ZI
Address of mortgagee or contract seller(number and dry,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street city,state,and ZIP code)
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other county ❑Yes ❑No currrent property ❑Yes. 0 No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recopied in the county
recorder's office(including any home equity line of credit that is recorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deduction approved in the amount of
20 20 20 20 20 20 20
Signature of County Auditor County • Date(month,day,year)
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(miners lug name) y) Dale(month,day,year)
4 zzQ d /// cryt P v1. -a a -1 g`
Full resident address d number and sheet°'''state,a P•••e)
162 75- 50,5 � � 'y711
Person authorized by duly executed Power of Attorney or by IC 5-1.1-12-0.7 �� Date(month,day,year)
Address of authorized person (number and street city,state,and ZIP code)
•
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.